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General NPI Number Information
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NPI Number | 1679948178
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Entity Type | Organization
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Legal Business Name | VALURX
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 2075 HAMBURG TPK
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City | WAYNE
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State | NJ
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Zip | 07470
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Country | US
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Telephone | 973-513-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 HAMBURG TPKE
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City | WAYNE
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State | NJ
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Zip | 07470-6293
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FARHAD DARUWALA
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Credential |
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Telephone | 973-513-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00715800
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License Number State | NJ
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